Özet:

Purpose: Three-dimensional angiography (3BA) and unwanted intravascular injection during lombal transforaminal anterior epidural steroid injection (TAESI) performed with floroscopy. Measures and Methods: Between January 2016 and September 2016, 20 (9 men, 11 women) patients (a total of 40 levels) had a bilateral transforaminal anterior epidural steroid injection (TAESI) from the fourth intervertebral level of the lomb. The images of 3BA and fluroscopy taken simultaneously during the TAESI process were evaluated as retrospective. The average age and body mass index of patients was 47.9±2.72 years and 26.95±1.21 respectively. Patients had complaints related to lombary disc hernia, seven of the spinal narrow channels, and three of the failure back surgical syndrome. At the Seven Level (17.5 per cent), although there was no vascular escape in the floroscopic image, vascular escape was detected in the 3BA image. The result: in patients with chronic lombary radiculopathy, the TAESI procedure, which is administered in conjunction with floroscopy, may be intravascular escapes that cannot be noticed in the serum. It may be appropriate to use different imaging methods that can give more detailed results, such as 3BA, to avoid intravascular injections during the TAESI process.

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